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General NPI Number Information
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NPI Number | 1992294888
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Entity Type | Individual
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Provider Name | ASHLEY LAUDER HOWELL CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 05/07/2018
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Last Update Date | 05/07/2018
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Provider Practice Location Address
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Address Line | 4122 TERRY DR
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City | CHESAPEAKE
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State | VA
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Zip | 23321-4597
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Country | US
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Telephone | 757-638-7951
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Fax |
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Provider Business Mailing Address
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Address Line | 5653 NATHANIEL ST
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City | SUFFOLK
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State | VA
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Zip | 23435-2532
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Country | US
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Telephone | 757-376-0126
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 2202008287
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License Number State | VA
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